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$19/Hr. Remote Healthcare Verification Case Manager *Irving, Texas & Surrounding Areas*

Remote, USA Full-time Posted 2025-04-26

Description
• REPUTABLE FORTUNE 500 BIG PHARMA COMPANY SEEKING REMOTE HEALTHCARE CASE MANAGERS
...
PAID TRAINING & EQUIPMENT PROVIDED!

Position: Verification Case Manager (Healthcare Claims)

Pay: $19/hr. Weekly Pay plus Benefits

Schedule: 8am-9pm EST. M-F (8hr shift scheduled between these hours by client)

Start Date: ETA 10/7* (Start date can change based on client’s needs)

Benefits: WEEKLY PAY, EQUIPMENT PROVIDED, BENEFITS & ABILITY TO WORK FROM HOME

Job Details
• Inbound/outbound calls
• Review pharmacy claims – Billing, Denials, Status, & Reimbursements
• Request Prior Authorizations – Coordinate Benefits
• Advocate for patients and their prescriptions.
• Use computer skills for data entry.
• Gather and review patient billing and medical information.
• Operate according to the guidelines of the Federal Health Care Program.
• Work with carriers to ensure coverage of medication on behalf of the patient.

Requirements
• MUST HAVE AT LEAST A YEAR OF MEDICAL CLAIMS, BILLING AND/OR CODING within the last two years. *NO EXCEPTIONS*
• Medical Call Center experience is a plus but not required.
• Must have active internet at home.
• Ability to multi-task and use dual monitors.
• Great work attitude and willingness to help others.
• HS Diploma/Equivalent.
• Must live within with 50 miles of Irving, Texas.
• MUST BE ABLE TO PICK-UP EQUIPMENT IN IRVING, TX! NO EXCEPTIONS!!

ANY APPLICANTS APPLYING THAT DO NOT HAVE THE REQUIRED EXPERIENCE WILL NOT BE SELECTED TO INTERVIEW!

For immediate consideration please email an updated resume and interview availability to [email protected] and mention ($19/hr. IRVING CM) in the subject line.

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